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Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain
STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation (LDH) and lumbar spine stenosis (LSS) in >60-year-old patients. OVERVIEW O...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Spine Surgery
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002176/ https://www.ncbi.nlm.nih.gov/pubmed/29879779 http://dx.doi.org/10.4184/asj.2018.12.3.511 |
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author | Singh, Ratish Zeng Xin, Gao Hirachan, Mangal Prasad Yu Cheng, Lin |
author_facet | Singh, Ratish Zeng Xin, Gao Hirachan, Mangal Prasad Yu Cheng, Lin |
author_sort | Singh, Ratish |
collection | PubMed |
description | STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation (LDH) and lumbar spine stenosis (LSS) in >60-year-old patients. OVERVIEW OF LITERATURE: There has been number of studies done in aspect of PTELS. All those studies focused on overall clinical aspect with no any age specific analysis. This articles deals with the patient >60 years old with low back pain (LBP) treated with the PTELS. This study provides the details of clinical outcome after the surgery in those age group. METHODS: We retrospectively studied 77 patients aged >60 years; out of these, 45 patients presented with LDH and 22 patients with lumbar spinal stenosis who underwent PTELS. RESULTS: The mean age of the patients who underwent the surgery was 68.33±6.97 years and the mean duration of the surgery and the postoperative duration of hospitalization were 87.31±24.746 minutes and 79±2.711 days, respectively. The pre- and postoperative Oswestry Disability Index were 52.8022±11.98299 and 16.3513±12.97398 (p <0.05), respectively, indicating statistical significance. The pre- and postoperative visual analogue scale scores of the leg and back were 6.27±1.213 and 4.79±1.162 (p <0.05) and 1.40±1.688 and 1.30±1.436, respectively (p <0.05), which showed a significant difference. Based on the MacNab criteria, 76.1%, 10%, and 6% of the patients showed excellent or good, fair, and poor outcomes, respectively. Incomplete removal of content and reherniation were observed in 3% and 7.5% of the patients. No significant difference was found between the clinical outcomes of PTELS between LDH and LSS. CONCLUSIONS: PTELS can be a good technique in spine surgery to relieve symptoms for LBP with satisfactory outcome, short duration of hospitalization, and advantages such as elimination of general anesthesia in elderly patients. |
format | Online Article Text |
id | pubmed-6002176 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-60021762018-06-21 Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain Singh, Ratish Zeng Xin, Gao Hirachan, Mangal Prasad Yu Cheng, Lin Asian Spine J Clinical Study STUDY DESIGN: Retrospective study. PURPOSE: To evaluate the outcome of percutaneous transforaminal endoscopic lumbar surgery (PTELS) and to evaluate the efficacy of this technique in the treatment of lumbar disc herniation (LDH) and lumbar spine stenosis (LSS) in >60-year-old patients. OVERVIEW OF LITERATURE: There has been number of studies done in aspect of PTELS. All those studies focused on overall clinical aspect with no any age specific analysis. This articles deals with the patient >60 years old with low back pain (LBP) treated with the PTELS. This study provides the details of clinical outcome after the surgery in those age group. METHODS: We retrospectively studied 77 patients aged >60 years; out of these, 45 patients presented with LDH and 22 patients with lumbar spinal stenosis who underwent PTELS. RESULTS: The mean age of the patients who underwent the surgery was 68.33±6.97 years and the mean duration of the surgery and the postoperative duration of hospitalization were 87.31±24.746 minutes and 79±2.711 days, respectively. The pre- and postoperative Oswestry Disability Index were 52.8022±11.98299 and 16.3513±12.97398 (p <0.05), respectively, indicating statistical significance. The pre- and postoperative visual analogue scale scores of the leg and back were 6.27±1.213 and 4.79±1.162 (p <0.05) and 1.40±1.688 and 1.30±1.436, respectively (p <0.05), which showed a significant difference. Based on the MacNab criteria, 76.1%, 10%, and 6% of the patients showed excellent or good, fair, and poor outcomes, respectively. Incomplete removal of content and reherniation were observed in 3% and 7.5% of the patients. No significant difference was found between the clinical outcomes of PTELS between LDH and LSS. CONCLUSIONS: PTELS can be a good technique in spine surgery to relieve symptoms for LBP with satisfactory outcome, short duration of hospitalization, and advantages such as elimination of general anesthesia in elderly patients. Korean Society of Spine Surgery 2018-06 2018-06-04 /pmc/articles/PMC6002176/ /pubmed/29879779 http://dx.doi.org/10.4184/asj.2018.12.3.511 Text en Copyright © 2018 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Singh, Ratish Zeng Xin, Gao Hirachan, Mangal Prasad Yu Cheng, Lin Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title | Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title_full | Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title_fullStr | Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title_full_unstemmed | Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title_short | Outcome of Percutaneous Transforaminal Endoscopic Lumbar Surgery in >60-Year-Old Patients with Low Back Pain |
title_sort | outcome of percutaneous transforaminal endoscopic lumbar surgery in >60-year-old patients with low back pain |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002176/ https://www.ncbi.nlm.nih.gov/pubmed/29879779 http://dx.doi.org/10.4184/asj.2018.12.3.511 |
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